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Ten misconceptions regarding decision-making in critical care
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作者 Tara Ramaswamy Jamie L Sparling +1 位作者 Marvin G Chang Edward A Bittner 《World Journal of Critical Care Medicine》 2024年第2期72-82,共11页
Diagnostic errors are prevalent in critical care practice and are associated with patient harm and costs for providers and the healthcare system.Patient complexity,illness severity,and the urgency in initiating proper... Diagnostic errors are prevalent in critical care practice and are associated with patient harm and costs for providers and the healthcare system.Patient complexity,illness severity,and the urgency in initiating proper treatment all contribute to decision-making errors.Clinician-related factors such as fatigue,cognitive overload,and inexperience further interfere with effective decision-making.Cognitive science has provided insight into the clinical decision-making process that can be used to reduce error.This evidence-based review discusses ten common misconceptions regarding critical care decision-making.By understanding how practitioners make clinical decisions and examining how errors occur,strategies may be developed and implemented to decrease errors in Decision-making and improve patient outcomes. 展开更多
关键词 Clinical reasoning Cognitive bias Critical care Debiasing strategies decision making Diagnostic reasoning Diagnostic error HEURISTICS Medical knowledge Patient safety
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Image Processing Tool Promoting Decision-Making in Liver Surgery of Patients with Chronic Kidney Disease
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作者 Kristina Bliznakova Nikola Kolev +4 位作者 Zhivko Bliznakov Ivan Buliev Anton Tonev Elitsa Encheva Krasimir Ivanov 《Journal of Software Engineering and Applications》 2014年第2期118-127,共10页
Preoperative assessment of the liver volume and function of the remnant liver is a mandatory prerequisite before performing major hepatectomy. The aim of this work is to develop and test a software application for eva... Preoperative assessment of the liver volume and function of the remnant liver is a mandatory prerequisite before performing major hepatectomy. The aim of this work is to develop and test a software application for evaluation of the residual function of the liver prior to the intervention of the surgeons. For this purpose, a complete software platform consisting of three basic modules: liver volume segmentation, visualization, and virtual cutting, was developed and tested. Liver volume segmentation is based on a patient examination with non-contrast abdominal Computed Tomography (CT). The basis of the segmentation is a multiple seeded region growing algorithm adapted for use with CT images without contrast-enhancement. Virtual tumor resection is performed interactively by outlining the liver region on the CT images. The software application then processes the results to produce a three-dimensional (3D) image of the “resected” region. Finally, 3D rendering module provides possibility for easy and fast interpretation of the segmentation results. The visual outputs are accompanied with quantitative measures that further provide estimation of the residual liver function and based on them the surgeons could make a better decision. The developed system was tested and verified with twenty abdominal CT patient sets consisting of different numbers of tomographic images. Volumes, obtained by manual tracing of two surgeon experts, showed a mean relative difference of 4.5%. The application was used in a study that demonstrates the need and the added value of such a tool in practice and in education. 展开更多
关键词 Non-Contrast Enhanced COMPUTED Tomography Images Evaluation of the Residual Function of the LIVER LIVER Segmentation Seeded Regional Growing Algorithm Virtual Tumor RESECTION decision-making Educational TOOL
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DNA extraction method selection for agricultural soil using TOPSIS multiple criteria decision-making model 被引量:1
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作者 Sepideh Pakpour Snizhana V. Olishevska +2 位作者 Shiv O. Prasher Abbas S. Milani Martin R. Chénier 《American Journal of Molecular Biology》 2013年第4期215-228,共14页
There is an increased interest in the extraction of nucleic acids from various environmental samples since culture-independent molecular techniques contribute to deepen and broaden the understanding of a greater porti... There is an increased interest in the extraction of nucleic acids from various environmental samples since culture-independent molecular techniques contribute to deepen and broaden the understanding of a greater portion of uncultivable microorganisms. Due to difficulties to select the optimum DNA extraction method in view of downstream molecular analyses, this article presents a straightforward mathematical framework for comparing some of the most commonly used methods. Four commercial DNA extraction kits and two physical-chemical methods (bead-beating and freeze-thaw) were compared for the extraction of DNA under several quantitative DNA analysis criteria: yield of extraction, purity of extracted DNA (A260/280 and A260/230 ratios), degradation degree of DNA, easiness of PCR amplification, duration of extraction, and cost per extraction. From a practical point of view, it is unlikely that a single DNA extraction strategy can be optimum for all selected criteria. Hence, a systematic Technique for Order Preference by Similarity to Ideal Solution (TOPSIS) was employed to compare the methods. The PowerSoil? DNA Isolation Kit was systematically defined as the best performing method for extracting DNA from soil samples. More specifically, for soil:manure and soil:manure:biochar mixtures, the PowerSoil?DNA Isolation Kit method performed best, while for neat soil samples its alternative version gained the first rank. 展开更多
关键词 DNA Extraction Agricultural Soil BIOCHAR POULTRY MANURE Multiple Criteria decision-making Technique for Order PREFERENCE by Similarity to IDEAL Solution
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Using Mathematical Models in Decision Making Methodologies to Find Key Nodes in the Noordin Dark Network 被引量:1
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作者 William P. Fox Sean F. Everton 《American Journal of Operations Research》 2014年第4期255-267,共13页
A Dark Network is a network that cannot be accessed through tradition means. Once uncovered, to any degree, dark network analysis can be accomplished using the SNA software. The output of SNA software includes many me... A Dark Network is a network that cannot be accessed through tradition means. Once uncovered, to any degree, dark network analysis can be accomplished using the SNA software. The output of SNA software includes many measures and metrics. For each of these measures and metric, the output in ORA additionally provides the ability to obtain a rank ordering of the nodes in terms of these measures. We might use this information in decision making concerning best methods to disrupt or deceive a given dark network. In the Noordin Dark network, different nodes were identified as key nodes based upon the metric used. Our goal in this paper is to use methodologies to identify the key players or nodes in a Dark Network in a similar manner as we previously proposed in social networks. We apply two multi-attribute decision making methods, a hybrid AHP & TOPSIS and an average weighted ranks scheme, to analyze these outputs to find the most influential nodes as a function of the decision makers’ inputs. We compare these methods by illustration using the Noordin Dark Network with seventy-nine nodes. We discuss sensitivity analysis that is applied to the criteria weights in order to measure the change in the ranking of the nodes. 展开更多
关键词 Social NETWORK ANALYSIS Multi-Attribute decision making Analytical Hierarchy Process (AHP) decision CRITERION WEIGHTED CRITERION TOPSIS Node Influence Sensitivity ANALYSIS Average WEIGHTED RANKS
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Rational and Continuous Measurement of the Emotional Decision Making in Visual Recognition of Facial Emotional Expressions with M.A.R.I.E.: First Half
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作者 Philippe Granato Shreekumar Vinekar +1 位作者 Jean-Pierre Van Gansberghe Raymond Bruyer 《Open Journal of Psychiatry》 2024年第3期223-264,共42页
Context: The advent of Artificial Intelligence (AI) requires modeling prior to its implementation in algorithms for most human skills. This observation requires us to have a detailed and precise understanding of the i... Context: The advent of Artificial Intelligence (AI) requires modeling prior to its implementation in algorithms for most human skills. This observation requires us to have a detailed and precise understanding of the interfaces of verbal and emotional communications. The progress of AI is significant on the verbal level but modest in terms of the recognition of facial emotions even if this functionality is one of the oldest in humans and is omnipresent in our daily lives. Dysfunction in the ability for facial emotional expressions is present in many brain pathologies encountered by psychiatrists, neurologists, psychotherapists, mental health professionals including social workers. It cannot be objectively verified and measured due to a lack of reliable tools that are valid and consistently sensitive. Indeed, the articles in the scientific literature dealing with Visual-Facial-Emotions-Recognition (ViFaEmRe), suffer from the absence of 1) consensual and rational tools for continuous quantified measurement, 2) operational concepts. We have invented a software that can use computer-morphing attempting to respond to these two obstacles. It is identified as the Method of Analysis and Research of the Integration of Emotions (M.A.R.I.E.). Our primary goal is to use M.A.R.I.E. to understand the physiology of ViFaEmRe in normal healthy subjects by standardizing the measurements. Then, it will allow us to focus on subjects manifesting abnormalities in this ability. Our second goal is to make our contribution to the progress of AI hoping to add the dimension of recognition of facial emotional expressions. Objective: To study: 1) categorical vs dimensional aspects of recognition of ViFaEmRe, 2) universality vs idiosyncrasy, 3) immediate vs ambivalent Emotional-Decision-Making, 4) the Emotional-Fingerprint of a face and 5) creation of population references data. Methods: With M.A.R.I.E. enable a rational quantified measurement of Emotional-Visual-Acuity (EVA) of 1) a) an individual observer, b) in a population aged 20 to 70 years old, 2) measure the range and intensity of expressed emotions by 3 Face-Tests, 3) quantify the performance of a sample of 204 observers with hyper normal measures of cognition, “thymia,” (ibid. defined elsewhere) and low levels of anxiety 4) analysis of the 6 primary emotions. Results: We have individualized the following continuous parameters: 1) “Emotional-Visual-Acuity”, 2) “Visual-Emotional-Feeling”, 3) “Emotional-Quotient”, 4) “Emotional-Deci-sion-Making”, 5) “Emotional-Decision-Making Graph” or “Individual-Gun-Trigger”6) “Emotional-Fingerprint” or “Key-graph”, 7) “Emotional-Finger-print-Graph”, 8) detecting “misunderstanding” and 9) detecting “error”. This allowed us a taxonomy with coding of the face-emotion pair. Each face has specific measurements and graphics. The EVA improves from ages of 20 to 55 years, then decreases. It does not depend on the sex of the observer, nor the face studied. In addition, 1% of people endowed with normal intelligence do not recognize emotions. The categorical dimension is a variable for everyone. The range and intensity of ViFaEmRe is idiosyncratic and not universally uniform. The recognition of emotions is purely categorical for a single individual. It is dimensional for a population sample. Conclusions: Firstly, M.A.R.I.E. has made possible to bring out new concepts and new continuous measurements variables. The comparison between healthy and abnormal individuals makes it possible to take into consideration the significance of this line of study. From now on, these new functional parameters will allow us to identify and name “emotional” disorders or illnesses which can give additional dimension to behavioral disorders in all pathologies that affect the brain. Secondly, the ViFaEmRe is idiosyncratic, categorical, and a function of the identity of the observer and of the observed face. These findings stack up against Artificial Intelligence, which cannot have a globalist or regionalist algorithm that can be programmed into a robot, nor can AI compete with human abilities and judgment in this domain. *Here “Emotional disorders” refers to disorders of emotional expressions and recognition. 展开更多
关键词 M.A.R.I.E. UNIVERSALITY Idiosyncrasy Measurement of Emotional Quotient Emotional Fingerprint Emotional decision-making Limbic Lobe
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Decision Making in Sustainable Development: Some Methods to Evaluate Energy and Nonrenewable Resources Waste When Using Some Plastics 被引量:1
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作者 Lol-chen Alegria Mejia Carlos E. Escobar Toledo Barbara M. Ramírez Rayle 《American Journal of Operations Research》 2012年第3期399-407,共9页
This paper explores a decision making model for a multidisciplinary problem in nature. This problem considers the role of energy use in sustainable development and the potential sources to increase energy efficiency d... This paper explores a decision making model for a multidisciplinary problem in nature. This problem considers the role of energy use in sustainable development and the potential sources to increase energy efficiency during its whole life cycle;it also deals with multicriteria decision making of plastic materials used in a day to day basis. Exergy analysis of plastic materials used to the manufacture of disposable polyethylene bags comparing them with other materials that can be used for substitution will be important to take decisions. We are also interested in plastic poly (ethylene Terephthalate or PET) bottles. The calculation of the incoming and outgoing Exergy flows during the production processes are carried out. The Exergy loss considering the sustainability concept, Green House Gases emissions, real energy flows needed to the chain of processes, material balances in the productions chains and value added, are presented as a set of criteria to make decisions of alternative materials including the actual ones. A case study for Mexico’s market will be developed in order to prove the methodology. It offers some interesting data about consumption and production of bags and bottles. 展开更多
关键词 Sustainability EXERGY Polyethylene BAGS and PET BOTTLES USES and Recycling Multiple Criteria Model to AID decision making
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Decision-Making and Management of Self-Care in Persons with Traumatic Spinal Cord Injuries: A Preliminary Study
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作者 Paul E. Plonski Jasmin Vassileva +5 位作者 Ryan Shahidi Paul B. Perrin William Carter Lance L. Goetz Amber Brochetti James M. Bjork 《Journal of Behavioral and Brain Science》 2024年第2期47-63,共17页
Patients and physicians understand the importance of self-care following spinal cord injury (SCI), yet many individuals with SCI do not adhere to recommended self-care activities despite logistical supports. Neurobeha... Patients and physicians understand the importance of self-care following spinal cord injury (SCI), yet many individuals with SCI do not adhere to recommended self-care activities despite logistical supports. Neurobehavioral determinants of SCI self-care behavior, such as impulsivity, are not widely studied, yet understanding them could inform efforts to improve SCI self-care. We explored associations between impulsivity and self-care in an observational study of 35 US adults age 18 - 50 who had traumatic SCI with paraplegia at least six months before assessment. The primary outcome measure was self-reported self-care. In LASSO regression models that included all neurobehavioral measures and demographics as predictors of self-care, dispositional measures of greater impulsivity (negative urgency, lack of premeditation, lack of perseverance), and reduced mindfulness were associated with reduced self-care. Outcome (magnitude) sensitivity, a latent decision-making parameter derived from computationally modeling successive choices in a gambling task, was also associated with self-care behavior. These results are preliminary;more research is needed to demonstrate the utility of these findings in clinical settings. Information about associations between impulsivity and poor self-care in people with SCI could guide the development of interventions to improve SCI self-care and help patients with elevated risks related to self-care and secondary health conditions. 展开更多
关键词 Spinal Cord Injury SELF-CARE decision-making PARAPLEGIA Impulsive Behavior Health Care
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Patients’ Involvement in Decision Making at End of Life—A Systematic Review of Literature
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作者 Elham H. Othman Inaam Khalaf Ruqayya Zeilani 《Open Journal of Nursing》 2019年第10期1106-1121,共16页
Background: involving patient in end of life decision is important to understand their wishes and preferences to help health care providers in improving the quality of dying and minimizing suffering. Aim: the aim of t... Background: involving patient in end of life decision is important to understand their wishes and preferences to help health care providers in improving the quality of dying and minimizing suffering. Aim: the aim of this review was to provide a detailed examination of the available literature related to patients’ involvement in decision making at end of life. Design: a systematic review following the PRISMA protocol was used, the review protocol was registered on PROSPERO: CRD42019128556. Data sources: we conducted a literature search in two electronic databases “CINAHL and Medline” during March-April 2019. The retrieved articles were included if they were: research reports or literature review;examined patient involvement in end-of-life discussions;full text publications, written in English and published from 2000-2019. Results: a total of (22) articles were included in the review;there was diversity in the purposes and design approach of the retrieved studies. The available literature explored patient’s involvement at end-of-life decision making through;describing current practices;understanding perspectives of end of life discussions;investigating the impact and identifying the barriers and facilitators of patients’ involvement in end of life discussions. Conclusion: involvement in end-of-life discussions improved the recognition of patients’ wishes, improved death experience, and decreased posttraumatic stress, depression, and anxiety among family members. Despite the documented benefits, some barriers against patient’s involvement in end-of-life decisions were recognized;lack of awareness;lack of education, training and experience;concerns about ethical and legal issues;and personal preferences of doctors or nurses were among the most commonly identified barriers. 展开更多
关键词 ADVANCE DIRECTIVES ADVANCE CARE Planning decision making at End of Life Patients INVOLVEMENT Patients PREFERENCES and Systematic Review
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Fuzzy Set Based Models and Methods of Decision Making and Power Engineering Problems
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作者 Petr Ya. Ekel Illya V. Kokshenev +2 位作者 Roberta O. Parreiras Gladstone B. Alves Paulo M. N. Souza 《Engineering(科研)》 2013年第5期41-51,共11页
The results of research into the use of fuzzy set based models and methods of multicriteria decision making for solving power engineering problems are presented. Two general classes of models related to multiobjective... The results of research into the use of fuzzy set based models and methods of multicriteria decision making for solving power engineering problems are presented. Two general classes of models related to multiobjective (X,M> models) and multiattribute (X,R> models) problems are considered. The analysisX,M> of models is based on the use of the Bellman-Zadeh approach to decision making in a fuzzy environment. Its application conforms to the principle of guaranteed result and provides constructive lines in obtaining harmonious solutions on the basis of analyzing associated maxmin problems. Several techniques based on fuzzy preference modeling are considered for the analysis of?X,R> models. A review of the authors’ results associated with the application of these models and methods for solving diverse types of problems of power system and subsystems planning and operation is presented. The recent results on the use ofX,M> andX,R> models and methods of their analysis for the allocation of reactive power sources in distribution systems and for the prioritization in maintenance planning in distribution systems, respectively, are considered. 展开更多
关键词 Power Systems and SUBSYSTEMS Planning and Operation decision making in FUZZY Environment Bellman-Zadeh Approach FUZZY PREFERENCE RELATION Modeling
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A Blind Spot in the Reframing of a Universe of Possibles: Towards a Suitable Model for Decision-Making Theory and A.I.
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作者 Gilbert Giacomoni 《Journal of Applied Mathematics and Physics》 2024年第6期2172-2189,共18页
Bayesian inference model is an optimal processing of incomplete information that, more than other models, better captures the way in which any decision-maker learns and updates his degree of rational beliefs about pos... Bayesian inference model is an optimal processing of incomplete information that, more than other models, better captures the way in which any decision-maker learns and updates his degree of rational beliefs about possible states of nature, in order to make a better judgment while taking new evidence into account. Such a scientific model proposed for the general theory of decision-making, like all others in general, whether in statistics, economics, operations research, A.I., data science or applied mathematics, regardless of whether they are time-dependent, have in common a theoretical basis that is axiomatized by relying on related concepts of a universe of possibles, especially the so-called universe (or the world), the state of nature (or the state of the world), when formulated explicitly. The issue of where to stand as an observer or a decision-maker to reframe such a universe of possibles together with a partition structure of knowledge (i.e. semantic formalisms), including a copy of itself as it was initially while generalizing it, is not addressed. Memory being the substratum, whether human or artificial, wherein everything stands, to date, even the theoretical possibility of such an operation of self-inclusion is prohibited by pure mathematics. We make this blind spot come to light through a counter-example (namely Archimedes’ Eureka experiment) and explore novel theoretical foundations, fitting better with a quantum form than with fuzzy modeling, to deal with more than a reference universe of possibles. This could open up a new path of investigation for the general theory of decision-making, as well as for Artificial Intelligence, often considered as the science of the imitation of human abilities, while being also the science of knowledge representation and the science of concept formation and reasoning. 展开更多
关键词 decision-making INNOVATION Universe of Possibles A.I. Quantum Form Fuzzy Modeling
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Novelty of Different Distance Approach for Multi-Criteria Decision-Making Challenges Using q-Rung Vague Sets
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作者 Murugan Palanikumar Nasreen Kausar +3 位作者 Dragan Pamucar Seifedine Kadry Chomyong Kim Yunyoung Nam 《Computer Modeling in Engineering & Sciences》 SCIE EI 2024年第6期3353-3385,共33页
In this article,multiple attribute decision-making problems are solved using the vague normal set(VNS).It is possible to generalize the vague set(VS)and q-rung fuzzy set(FS)into the q-rung vague set(VS).A log q-rung n... In this article,multiple attribute decision-making problems are solved using the vague normal set(VNS).It is possible to generalize the vague set(VS)and q-rung fuzzy set(FS)into the q-rung vague set(VS).A log q-rung normal vague weighted averaging(log q-rung NVWA),a log q-rung normal vague weighted geometric(log q-rung NVWG),a log generalized q-rung normal vague weighted averaging(log Gq-rung NVWA),and a log generalized q-rungnormal vagueweightedgeometric(logGq-rungNVWG)operator are discussed in this article.Adescription is provided of the scoring function,accuracy function and operational laws of the log q-rung VS.The algorithms underlying these functions are also described.A numerical example is provided to extend the Euclidean distance and the Humming distance.Additionally,idempotency,boundedness,commutativity,and monotonicity of the log q-rung VS are examined as they facilitate recognizing the optimal alternative more quickly and help clarify conceptualization.We chose five anemia patients with four types of symptoms including seizures,emotional shock or hysteria,brain cause,and high fever,who had either retrograde amnesia,anterograde amnesia,transient global amnesia,post-traumatic amnesia,or infantile amnesia.Natural numbers q are used to express the results of the models.To demonstrate the effectiveness and accuracy of the models we are investigating,we compare several existing models with those that have been developed. 展开更多
关键词 Vague set aggregating operators euclidean distance hamming distance decision making
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Control Method of Effect of Robust Optimization in Multi-Player Multi-Objective Decision-Making
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作者 Tomoaki Yatsuka Aya Ishigaki +2 位作者 Yuki Kinoshita Tetsuo Yamada Masato Inoue 《American Journal of Operations Research》 2019年第4期175-191,共17页
In the real situations of supply chain, there are different parts such as facilities, logistics warehouses and retail stores and they handle common kinds of products. In this research, these situations are focused on ... In the real situations of supply chain, there are different parts such as facilities, logistics warehouses and retail stores and they handle common kinds of products. In this research, these situations are focused on as the background of this research. They deal with the common quantities of their products, but due to their different environments, the optimal production quantity of one part can be unacceptable to another part and it may suffer a heavy loss. To avoid that kind of unacceptable situations, the common production quantities should be acceptable to all parts in one supply chain. Therefore, the motivation of this research is the necessity of the method to find the production quantities that make all decision makers acceptable is needed. However, it is difficult to find the production quantities that make all decision makers acceptable. Moreover, their acceptable ranges do not always have common ranges. In the decision making of car design, there are similar situations to this type of decision making. The performance of a car consists of purposes such as fuel efficiency, size and so on. Improving one purpose makes another worse and the relationship between these purposes is tradeoff. In these cases, Suriawase process is applied. This process consists of negotiations and reviews of the requirements of the purposes. In the step of negotiations, the requirements of the purposes are share among all decision makers and the solution that makes them as satisfied as possible. In the step of reviews of the requirements, they are reviewed based on the result of the negotiation if the result is unacceptable to some of decision makers. Therefore, through the iterations of the two steps, the solution that makes all decision makers satisfied is obtained. However, in the previous research, the effects that one decision maker reviews requirements in Suriawase process are quantified, but the mathematical model to modify the ranges of production quantities of all decision makers simultaneously is not shown. Therefore, in this research, based on Suriawase process, the mathematical model of multi-player multi-objective decision making is proposed. The mathematical model of multi-player multi-objective decision making by using linear physical programming (LPP) and robust optimization (RO) in the previous research is the basis of the methods of this research. LPP is one of the multi-objective optimization methods and RO is used to make the balance of the preference levels among decision makers. In LPP, the preference ranges of all objective functions are needed, so as the hypothesis of this research. In the research referred in this research, the method to control the effect of RO is not shown. If the effect of RO is too big, the average of the preference level becomes worse. The purpose of this research is to reproduce the mathematical model of multi-player multi-objective decision making based on Suriawase process and propose the method to control the effect of RO. In the proposed model, a set of the solutions of the negotiation problem is obtained and it is proved by the result of the numerical experiment. Therefore, the conclusion that the proposed model is available to obtain a set of the solutions of the negotiation problems in supply chain. 展开更多
关键词 Linear PHYSICAL PROGRAMMING Suriawase Process Multi-Player decision-making Supply CHAIN COORDINATION Robust Optimization
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A Large-Scale Group Decision Making Model Based on Trust Relationship and Social Network Updating
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作者 Rongrong Ren Luyang Su +2 位作者 Xinyu Meng Jianfang Wang Meng Zhao 《Computer Modeling in Engineering & Sciences》 SCIE EI 2024年第1期429-458,共30页
With the development of big data and social computing,large-scale group decisionmaking(LGDM)is nowmerging with social networks.Using social network analysis(SNA),this study proposes an LGDM consensus model that consid... With the development of big data and social computing,large-scale group decisionmaking(LGDM)is nowmerging with social networks.Using social network analysis(SNA),this study proposes an LGDM consensus model that considers the trust relationship among decisionmakers(DMs).In the process of consensusmeasurement:the social network is constructed according to the social relationship among DMs,and the Louvain method is introduced to classify social networks to form subgroups.In this study,the weights of each decision maker and each subgroup are computed by comprehensive network weights and trust weights.In the process of consensus improvement:A feedback mechanism with four identification and two direction rules is designed to guide the consensus of the improvement process.Based on the trust relationship among DMs,the preferences are modified,and the corresponding social network is updated to accelerate the consensus.Compared with the previous research,the proposedmodel not only allows the subgroups to be reconstructed and updated during the adjustment process,but also improves the accuracy of the adjustment by the feedbackmechanism.Finally,an example analysis is conducted to verify the effectiveness and flexibility of the proposed method.Moreover,compared with previous studies,the superiority of the proposed method in solving the LGDM problem is highlighted. 展开更多
关键词 Large-scale group decision making social network updating trust relationship group consensus feedback mechanism
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A Multi-Criteria Decision Making for the Unrelated Parallel Machines Scheduling Problem
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作者 Wei-Shung CHANG Chiuh-Cheng CHYU 《Journal of Software Engineering and Applications》 2009年第5期323-329,共7页
In this paper, we propose a multi-criteria machine-schedules decision making method that can be applied to a produc-tion environment involving several unrelated parallel machines and we will focus on three objectives:... In this paper, we propose a multi-criteria machine-schedules decision making method that can be applied to a produc-tion environment involving several unrelated parallel machines and we will focus on three objectives: minimizing makespan, total flow time, and total number of tardy jobs. The decision making method consists of three phases. In the first phase, a mathematical model of a single machine scheduling problem, of which the objective is a weighted sum of the three objectives, is constructed. Such a model will be repeatedly solved by the CPLEX in the proposed Multi-Objective Simulated Annealing (MOSA) algorithm. In the second phase, the MOSA that integrates job clustering method, job group scheduling method, and job group – machine assignment method, is employed to obtain a set of non-dominated group schedules. During this phase, CPLEX software and the bipartite weighted matching algorithm are used repeatedly as parts of the MOSA algorithm. In the last phase, the technique of data envelopment analysis is applied to determine the most preferable schedule. A practical example is then presented in order to demonstrate the applicability of the proposed decision making method. 展开更多
关键词 multi-objectIVE Optimization UNRELATED Parallel Machines Scheduling Simulated ANNEALING Algorithm INTEGER PROGRAMMING Models MULTI-CRITERIA decision making
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Management of gastroesophageal reflux disease: Patient and physician communication challenges and shared decision making 被引量:10
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作者 Scott Klenzak Igor Danelisen +2 位作者 Grace D Brannan Melissa A Holland Miranda AL van Tilburg 《World Journal of Clinical Cases》 SCIE 2018年第15期892-900,共9页
Gastroesophageal reflux disease(GERD) is a common upper esophageal condition and typical symptoms can include heartburn and sensation of regurgitation while atypical symptoms include chronic cough, asthma, hoarseness,... Gastroesophageal reflux disease(GERD) is a common upper esophageal condition and typical symptoms can include heartburn and sensation of regurgitation while atypical symptoms include chronic cough, asthma, hoarseness, dyspepsia and nausea. Typically, diag-nosis is presumptive given the presence of typical and atypical symptoms and is an indication for empiric therapy. Treatment management can include lifestyle modifications and/or medication therapy with proton pump inhibitor(PPI) class being the preferred and most effective. Complete symptom resolution is not always achieved and long-term PPI therapy can put patients at risk for serious side effects and needless expense. The brain-gut connection and hypervigilance plays an important role in symptom resolution and treatment success, especially in the case of non-PPI responders. Hypervigilance is a combination of increased esophageal sensory sensitivity in combination with exaggerated threat perception surrounding esophageal symptoms. Hypervigilance requires a different approach to GERD managements, where continued PPI therapy and surgery are usually not recommended. Rather, helping physicians and patients understand the brain-gut connection can guide and improve care.Education and reassurance should be the main pillars or treatment. However, it is important not to suggest the symptoms are due to anxiety alone, this often leads to patient dissatisfaction. Patient dissatisfaction with treatment reveals the need for a more patient-centered approach to GERD management and better communication between patients and providers. Shared decision making(SDM) with the incorporation of patient-reported outcomes(PRO) promotes patient adherence and satisfaction. SDM is a joint discussion between clinician and patient in which a mutually shared solution is explored for GERD symptoms. For SDM to work the physician needs to capture patients' perceptions which may not be obtained in the standard interview. This can be done through the use of PROs which promote a dialogue with patients about their symptoms and treatment priorities in the context of the SDM patient encounter. SDM could potentially help in the management of patient expectations for GERD treatment, ultimately positively impacting their health-related quality of life. 展开更多
关键词 GASTROESOPHAGEAL REFLUX disease PSYCHOSOCIAL Patient-physician communication Shared decision making Patient-reported outcomes PATIENT SATISFACTION
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A decision support system for satellite layout integrating multi-objective optimization and multi-attribute decision making 被引量:2
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作者 LIANG Yan’gang QIN Zheng 《Journal of Systems Engineering and Electronics》 SCIE EI CSCD 2019年第3期535-544,共10页
A decision support system, including a multi-objective optimization framework and a multi-attribute decision making approach is proposed for satellite equipment layout. Firstly, given three objectives (to minimize the... A decision support system, including a multi-objective optimization framework and a multi-attribute decision making approach is proposed for satellite equipment layout. Firstly, given three objectives (to minimize the C.G. offset, the cross moments of inertia and the space debris impact risk), we develop a threedimensional layout optimization model. Unlike most of the previous works just focusing on mass characteristics of the system, a space debris impact risk index is developed. Secondly, we develop an efficient optimization framework for the integration of computer-aided design (CAD) software as well as the optimization algorithm to obtain the Pareto front of the layout optimization problem. Thirdly, after obtaining the candidate solutions, we present a multi-attribute decision making approach, which integrates the smart Pareto filter and the correlation coefficient and standard deviation (CCSD) method to select the best tradeoff solutions on the optimal Pareto fronts. Finally, the framework and the decision making approach are applied to a case study of a satellite platform. 展开更多
关键词 layout OPTIMIZATION SATELLITE multi-objectIVE OPTIMIZATION PARETO FRONT MULTI-ATTRIBUTE decision making
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Greedy Algorithm Based Deep Learning Strategy for User Behavior Prediction and Decision Making Support 被引量:2
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作者 Kumar Attangudi Perichiappan Perichappan 《Journal of Computer and Communications》 2018年第6期45-53,共9页
In this paper, we suggest a deep learning strategy for decision support, based on a greedy algorithm. Decision making support by artificial intelligence is of the most challenging trends in modern computer science. Cu... In this paper, we suggest a deep learning strategy for decision support, based on a greedy algorithm. Decision making support by artificial intelligence is of the most challenging trends in modern computer science. Currently various strategies exist and are increasingly improved in order to meet practical needs of user-oriented platforms like Microsoft, Google, Amazon, etc. 展开更多
关键词 Machine Learning BIG Data Analysis decision making Artificial INTELLIGENCE COMPUTER Science Tensorflow PREDICTION
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Pythagorean Uncertain Linguistic Variable Hamy Mean Operator and Its Application to Multi-attribute Group Decision Making 被引量:1
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作者 Huidong Wang Shifan He +1 位作者 Chengdong Li Xiaohong Pan 《IEEE/CAA Journal of Automatica Sinica》 SCIE EI CSCD 2019年第2期527-539,共13页
Pythagorean fuzzy set(PFS) can provide more flexibility than intuitionistic fuzzy set(IFS) for handling uncertain information, and PFS has been increasingly used in multi-attribute decision making problems. This paper... Pythagorean fuzzy set(PFS) can provide more flexibility than intuitionistic fuzzy set(IFS) for handling uncertain information, and PFS has been increasingly used in multi-attribute decision making problems. This paper proposes a new multiattribute group decision making method based on Pythagorean uncertain linguistic variable Hamy mean(PULVHM) operator and VIKOR method. Firstly, we define operation rules and a new aggregation operator of Pythagorean uncertain linguistic variable(PULV) and explore some properties of the operator.Secondly, taking the decision makers' hesitation degree into account, a new score function is defined, and we further develop a new group decision making approach integrated with VIKOR method. Finally, an investment example is demonstrated to elaborate the validity of the proposed method. Sensibility analysis and comprehensive comparisons with another two methods are performed to show the stability and advantage of our method. 展开更多
关键词 Hamy mean(HM) OPERATOR MULTI-ATTRIBUTE group decision making(MAGDM) PYTHAGOREAN fuzzy set PYTHAGOREAN UNCERTAIN LINGUISTIC variable
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Method for triangular fuzzy multiple attribute decision making based on two-dimensional density operator method
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作者 LIN Youliang LI Wu +1 位作者 LIU Gang HUANG Dong 《Journal of Systems Engineering and Electronics》 SCIE EI CSCD 2024年第1期178-185,共8页
Aiming at the triangular fuzzy(TF)multi-attribute decision making(MADM)problem with a preference for the distribution density of attribute(DDA),a decision making method with TF number two-dimensional density(TFTD)oper... Aiming at the triangular fuzzy(TF)multi-attribute decision making(MADM)problem with a preference for the distribution density of attribute(DDA),a decision making method with TF number two-dimensional density(TFTD)operator is proposed based on the density operator theory for the decision maker(DM).Firstly,a simple TF vector clustering method is proposed,which considers the feature of TF number and the geometric distance of vectors.Secondly,the least deviation sum of squares method is used in the program model to obtain the density weight vector.Then,two TFTD operators are defined,and the MADM method based on the TFTD operator is proposed.Finally,a numerical example is given to illustrate the superiority of this method,which can not only solve the TF MADM problem with a preference for the DDA but also help the DM make an overall comparison. 展开更多
关键词 fuzzy decision making CLUSTERING density operator multi-attribute decision making(MADM)
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Multi-Objective Optimization Algorithm for Grouping Decision Variables Based on Extreme Point Pareto Frontier
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作者 JunWang Linxi Zhang +4 位作者 Hao Zhang Funan Peng Mohammed A.El-Meligy Mohamed Sharaf Qiang Fu 《Computers, Materials & Continua》 SCIE EI 2024年第4期1281-1299,共19页
The existing algorithms for solving multi-objective optimization problems fall into three main categories:Decomposition-based,dominance-based,and indicator-based.Traditional multi-objective optimization problemsmainly... The existing algorithms for solving multi-objective optimization problems fall into three main categories:Decomposition-based,dominance-based,and indicator-based.Traditional multi-objective optimization problemsmainly focus on objectives,treating decision variables as a total variable to solve the problem without consideringthe critical role of decision variables in objective optimization.As seen,a variety of decision variable groupingalgorithms have been proposed.However,these algorithms are relatively broad for the changes of most decisionvariables in the evolution process and are time-consuming in the process of finding the Pareto frontier.To solvethese problems,a multi-objective optimization algorithm for grouping decision variables based on extreme pointPareto frontier(MOEA-DV/EPF)is proposed.This algorithm adopts a preprocessing rule to solve the Paretooptimal solution set of extreme points generated by simultaneous evolution in various target directions,obtainsthe basic Pareto front surface to determine the convergence effect,and analyzes the convergence and distributioneffects of decision variables.In the later stages of algorithm optimization,different mutation strategies are adoptedaccording to the nature of the decision variables to speed up the rate of evolution to obtain excellent individuals,thusenhancing the performance of the algorithm.Evaluation validation of the test functions shows that this algorithmcan solve the multi-objective optimization problem more efficiently. 展开更多
关键词 multi-objective evolutionary optimization algorithm decision variables grouping extreme point pareto frontier
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